Sample Record

Owner Lab

  • CT HQ - Sacramento Asphalt Binder Laboratory

DIME Sample ID 2020-04-30-17

Project Information

Project IdentifiersProject ID: 214478
DEA: 034H6604
EFIS: 0319000019
DIST-CO-RTE-PM03-PLA-80-32.7/33.0
Award Date12/13/2019
Closeout Date12/04/2020
Work DescriptionWIDEN PAVEMENT WITH AB AND HMA, AND MODIFY ELECTRICAL.
Location DescriptionPLACER COUNTY IN COLFAX FROM THE SOUTH AUBURN ROAD WESTBOUND ONRAMP TO 0.3 MILE SOUTH OF THE SOUTH AUBURN ROAD WESTBOUND ONRAMP
QA Service Level1 (Verified on 10/23/2019)

Sample Information

Sample Taken Date04/30/2020 Sample Unique Key17
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing05/05/2020
Sample typeAcceptance A brief description of the sampleEmulsion
The quantity of what the sample constitutes2 bottles From where was the sample collectedJob Site
First name of sampler or witnessed byD Last name of sampler or witnessed byDrane
Title of sampler Telephone number of sampler530-330-2727
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Northwest Oil - Stockton, CA Transportation Laboratory (TL) Number764800
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphaltic Emulsion Emulsion GradeSS-1h
Lot Number0 Sub Lot0

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-30-17-1AASHTO T59-16: Standard Method of Test for Emulsified Asphalts (Residue and Oil Distillate (Sec. 6))Juan GomezCT HQ - Sacramento Asphalt Binder Laboratory05/07/2020Juan Gomez
Yes
05/07/2020